Under eye lines and wrinkles can occur from extra skin or increased muscle activity. Botox can be used to treat the muscle and eyelid surgery (or lasers or chemical peel) to treat the skin. I would recommend you seek a consultation with a board certified surgeon that performs both injections and...
Based on your photos, you appear to have a relatively large orbicularis roll, more so on the left than on the right. This is a roll of muscle that is not addressed by removing fat pads. Your candidacy for removal of under eye fat pads may require an examination, especially since you appear to...
There’s no simplistic answer to your question.
The first step is to have a clear understanding of what the problem is.
Is it skeletal or soft tissue oriented.
Both soft tissue and bony structures affect the appearance in ways you describe
I suggest you consult with opal plastic surgeons in y...